Originally from Valencia, Venezuela, Teresita Ruoff, PA-C obtained her Bachelor's degree at Simon Bolivar University and Master's degree at Instituto Universitario de Estudios Avanzados Administrativos in Caracas, Venezuela. PA Ruoff moved to North Carolina in 2004. She received her Master's in Medical Science from Methodist University, Fayetteville, North Carolina in 2010. PA Ruoff is licensed by the North Carolina Medical Board and certified by the National Commission on Certification of Physician Assistants (NCCPA).

PA Ruoff completed her clinical rotations in Fayetteville, North Carolina, including training at Womack Army Medical Center and Cape Fear Valley Medical Center, in areas such as: internal medicine, family medicine, general surgery, and emergency medicine. She completed her Preceptorship in cardiology with Dr. Sylvester Ejeh, MD. PA Ruoff also received training at Hospital Metropolitano del Norte in Valencia, Venezuela.